MS. TRACY LYNN MONTICONE RN NPI 1053958264

NPI Information

NPI: 1053958264
Provider Name: MS. TRACY LYNN MONTICONE, RN
Classification: Registered Nurse - 163WW0101X
Entity Type: Individual

Specialization: Women's Health Care, Ambulatory

Address:
7011 A C SKINNER PKWY
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 612-4848
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MS. Tracy Lynn Monticone, RN is a women's health care and ambulatory registered nurse in Jacksonville, FL. MS. Tracy Lynn Monticone, RN NPI is 1053958264. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7011 A C SKINNER PKWY
JACKSONVILLE, FL
ZIP 32256-954
Phone: (904) 612-4848

The enumeration date for this NPI number is 12/6/2019 and was last updated on 12/6/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WW0101X	Registered Nurse	Women's Health Care, Ambulatory	9429731	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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